Paul Hewett
Biographic Data
| ID | 1511332 |
|---|---|
| NAME | Paul Hewett |
| GIVEN NAMES | Paul |
| FAMILY NAME | Hewett |
| SIGNATURE | HEWETT P |
| AFFILIATIONS | Population Council |
| ORCID | 0000-0003-0394-3154 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 158 |
| WORKS AS AUTHOR | 22 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 6 |
Psychosocial influences on pregnancy and childbirth behaviours in north-western Nigeria
Antenatal care (ANC) and facility delivery are essential maternal health services, but uptake remains low in north-western Nigeria. This study aimed to assess the psychosocial influences on pregnancy and childbirth behaviours in Nigeria. Data were from a cross-sectional population-based survey of randomly sampled women with a child under 2 years conducted in Kebbi, Sokoto and Zamfara states of north-western Nigeria in September 2019. Women were a…
Understanding family planning outcomes in northwestern Nigeria
SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use-even without large-scale changes in socio-economic and health services factors-by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes …
Assessment of an adolescent-girl-focused nutritional educational intervention within a girls’ empowerment programme
Objective: Adolescent girls are at risk for both macro- and micronutrient deficiencies affecting growth, maternal and child health. This study assessed the impact of an adolescent-girl-tailored nutritional education curriculum on nutritional outcomes, including knowledge, dietary behaviour, anthropometry and anaemia. Design: A cluster-randomised evaluation was conducted with two study arms: girls in mentor-led weekly girls’ groups receiving sexua…
The impact of the Adolescent Girls Empowerment Program (Agep) on short and long term social, economic, education and fertility outcomes
Background Adolescent girls in Zambia face risks and vulnerabilities that challenge their healthy development into young women: early marriage and childbearing, sexual and gender-based violence, unintended pregnancy and HIV. The Adolescent Girls Empowerment Program (AGEP) was designed to address these challenges by building girls’ social, health and economic assets in the short term and improving sexual behavior, early marriage, pregnancy and edu…
Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi
While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. Using the Malawi Schooling and Adolescent Study, a longitudinal survey that followed 2,649 young people aged 14-17 at baseline from 2007 to 2013, we estimate the effect of three education variables: school enrolment, grade attainment, and a…
When He Asks for Sex, You Will Never Refuse”
Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnan…
Cluster randomized evaluation of Adolescent Girls Empowerment Programme (Agep)
ISRCTN29322231 . March 04 2016; retrospectively registered
Reading and numeracy skills after school leaving in southern Malawi
Randomized evaluation and cost-effectiveness of HIV and sexual and reproductive health service referral and linkage models in Zambia
ISRCTN84228514 Retrospectively registered. The study was retrospectively registered in the ISRCTN clinical trials registry on 06 October 2015. The first recruitment of participants occurred on 17 December 2013
Challenges in Measuring the Sequencing of Life Events Among Adolescents in Malawi
Using data from two rounds of the Malawi Schooling and Adolescent Survey, this research note examines consistency of retrospective reporting on the timing and sequencing of sexual initiation, school leaving, and marriage. The analysis, which compares reporting of events both within and between rounds, indicates substantial inconsistency in reporting of event sequences and highlights difficulties in measuring transitions to adulthood in sub-Sahara…
Using Biomarkers to Assess the Validity of Sexual Behavior Reporting across Interview Modes among Young Women in Kampala, Uganda
Understanding the transmission dynamics of HIV and other sexually transmitted infections is critically dependent on accurate behavioral data. This study investigates the effect of the mode of questionnaire delivery on the quality of sexual behavior reporting in a 2010 survey conducted in Kampala, Uganda, among 18–24‐year‐old women. We compare the reported prevalence of five sexual outcomes across three interview modes: traditional face‐to‐face in…
Social Desirability Bias in Sexual Behavior Reporting
CONTEXT: Social desirability bias is problematic in studies that rely on self-reported sexual behavior data. Where gender norms create different expectations about socially acceptable behavior, males and females face distinct pressures in reporting certain outcomes, which can distort assessments of risk for HIV and STIs. METHODS: In 2009, relationship and sexual behavior data were collected from 1,750 never-married males and females aged 16-18 vi…
How Informed are Clients Who Consent? A Mixed-Method Evaluation of Comprehension Among Clients of Male Circumcision Services in Zambia and Swaziland
On the cutting edge
Based on evidence that it can reduce HIV transmission by up to 60%, male circumcision (MC) is being scaled up in high HIV prevalence settings. We present data from operations research into the introduction of MC in Zambia, assessing informed consent (IC) procedures for adolescent MC clients. We administered a comprehension test among adult (n = 311) and adolescent (n = 115) clients at 10 clinics around Lusaka between the counselling and IC proces…
Assessing the Reporting of Adherence and Sexual Activity in a Simulated Microbicide Trial in South Africa
Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi
This study investigates the reporting of premarital sex in rural southern Malawi. It summarizes the results of an interview‐mode experiment conducted with unmarried young women aged 15–21 in which respondents were randomly assigned to either an audio computer‐assisted self‐interview (ACASI) or a conventional face‐to‐face (FTF) interview. In addition, biomarkers were collected for HIV and three STIs: gonorrhea, chlamydia, and trichomoniasis. Prior…
Urban poverty and health in developing countries
In the United States and other high-income countries, there is intense scholarly and programmatic interest in the effects of household and neighborhood living standards on health. Yet few studies of developing-country cities have explored these issues. We investigated whether the health of urban women and children in poor countries is influenced by both household and neighborhood standards of living. Using data from the urban samples of 85 Demogr…
The Feasibility of Computer-Assisted Survey Interviewing in Africa
This article explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The article describes the experience of c…
The Reporting of Sensitive Behavior by Adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The reporting of sensitive behavior by adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
Short Reviews
Books reviewed in this article: Kamran Asdar Ali, Planning the Family in Egypt: New Bodies, New Selves David I. Kertzer and Dominique Arel (EDS.), Census and Identity: The Politics of Race, Ethnicity, and Language in National Censuses Peter Lloyd‐Sherlock (ED.), Healthcare Reform and Poverty in Latin America Ishwar Modi (ED.), Ageing and Human Development: Global Perspectives United Nations Development Programme, Regional Bureau for Arab States, …
The Spread of Primary Schooling in sub-Saharan Africa
In 1980 Caldwell hypothesized that the time of the onset of the fertility transition in developing countries would be linked with the achievement of "mass formal schooling." This article applies Demographic and Health Survey data to assess schooling patterns and trends for 23 sub-Saharan African countries, using the percentage of 15-19-year olds who have completed at least four years of schooling as an indicator of progress in education. As backg…
The reporting of sensitive behavior by adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The Spread of Primary Schooling in sub-Saharan Africa
In 1980 Caldwell hypothesized that the time of the onset of the fertility transition in developing countries would be linked with the achievement of "mass formal schooling." This article applies Demographic and Health Survey data to assess schooling patterns and trends for 23 sub-Saharan African countries, using the percentage of 15-19-year olds who have completed at least four years of schooling as an indicator of progress in education. As backg…
Urban poverty and health in developing countries
In the United States and other high-income countries, there is intense scholarly and programmatic interest in the effects of household and neighborhood living standards on health. Yet few studies of developing-country cities have explored these issues. We investigated whether the health of urban women and children in poor countries is influenced by both household and neighborhood standards of living. Using data from the urban samples of 85 Demogr…
Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi
This study investigates the reporting of premarital sex in rural southern Malawi. It summarizes the results of an interview‐mode experiment conducted with unmarried young women aged 15–21 in which respondents were randomly assigned to either an audio computer‐assisted self‐interview (ACASI) or a conventional face‐to‐face (FTF) interview. In addition, biomarkers were collected for HIV and three STIs: gonorrhea, chlamydia, and trichomoniasis. Prior…
Challenges in Measuring the Sequencing of Life Events Among Adolescents in Malawi
Using data from two rounds of the Malawi Schooling and Adolescent Survey, this research note examines consistency of retrospective reporting on the timing and sequencing of sexual initiation, school leaving, and marriage. The analysis, which compares reporting of events both within and between rounds, indicates substantial inconsistency in reporting of event sequences and highlights difficulties in measuring transitions to adulthood in sub-Sahara…
The Feasibility of Computer-Assisted Survey Interviewing in Africa
This article explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The article describes the experience of c…
When He Asks for Sex, You Will Never Refuse”
Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnan…
Reading and numeracy skills after school leaving in southern Malawi
Using Biomarkers to Assess the Validity of Sexual Behavior Reporting across Interview Modes among Young Women in Kampala, Uganda
Understanding the transmission dynamics of HIV and other sexually transmitted infections is critically dependent on accurate behavioral data. This study investigates the effect of the mode of questionnaire delivery on the quality of sexual behavior reporting in a 2010 survey conducted in Kampala, Uganda, among 18–24‐year‐old women. We compare the reported prevalence of five sexual outcomes across three interview modes: traditional face‐to‐face in…
The Spread of Primary Schooling in sub-Saharan Africa
In 1980 Caldwell hypothesized that the time of the onset of the fertility transition in developing countries would be linked with the achievement of "mass formal schooling." This article applies Demographic and Health Survey data to assess schooling patterns and trends for 23 sub-Saharan African countries, using the percentage of 15-19-year olds who have completed at least four years of schooling as an indicator of progress in education. As backg…
Short Reviews
Books reviewed in this article: Kamran Asdar Ali, Planning the Family in Egypt: New Bodies, New Selves David I. Kertzer and Dominique Arel (EDS.), Census and Identity: The Politics of Race, Ethnicity, and Language in National Censuses Peter Lloyd‐Sherlock (ED.), Healthcare Reform and Poverty in Latin America Ishwar Modi (ED.), Ageing and Human Development: Global Perspectives United Nations Development Programme, Regional Bureau for Arab States, …
The Reporting of Sensitive Behavior by Adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The reporting of sensitive behavior by adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The Feasibility of Computer-Assisted Survey Interviewing in Africa
This article explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The article describes the experience of c…
Urban poverty and health in developing countries
In the United States and other high-income countries, there is intense scholarly and programmatic interest in the effects of household and neighborhood living standards on health. Yet few studies of developing-country cities have explored these issues. We investigated whether the health of urban women and children in poor countries is influenced by both household and neighborhood standards of living. Using data from the urban samples of 85 Demogr…
Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi
This study investigates the reporting of premarital sex in rural southern Malawi. It summarizes the results of an interview‐mode experiment conducted with unmarried young women aged 15–21 in which respondents were randomly assigned to either an audio computer‐assisted self‐interview (ACASI) or a conventional face‐to‐face (FTF) interview. In addition, biomarkers were collected for HIV and three STIs: gonorrhea, chlamydia, and trichomoniasis. Prior…
Assessing the Reporting of Adherence and Sexual Activity in a Simulated Microbicide Trial in South Africa
On the cutting edge
Based on evidence that it can reduce HIV transmission by up to 60%, male circumcision (MC) is being scaled up in high HIV prevalence settings. We present data from operations research into the introduction of MC in Zambia, assessing informed consent (IC) procedures for adolescent MC clients. We administered a comprehension test among adult (n = 311) and adolescent (n = 115) clients at 10 clinics around Lusaka between the counselling and IC proces…
Social Desirability Bias in Sexual Behavior Reporting
CONTEXT: Social desirability bias is problematic in studies that rely on self-reported sexual behavior data. Where gender norms create different expectations about socially acceptable behavior, males and females face distinct pressures in reporting certain outcomes, which can distort assessments of risk for HIV and STIs. METHODS: In 2009, relationship and sexual behavior data were collected from 1,750 never-married males and females aged 16-18 vi…
How Informed are Clients Who Consent? A Mixed-Method Evaluation of Comprehension Among Clients of Male Circumcision Services in Zambia and Swaziland
Challenges in Measuring the Sequencing of Life Events Among Adolescents in Malawi
Using data from two rounds of the Malawi Schooling and Adolescent Survey, this research note examines consistency of retrospective reporting on the timing and sequencing of sexual initiation, school leaving, and marriage. The analysis, which compares reporting of events both within and between rounds, indicates substantial inconsistency in reporting of event sequences and highlights difficulties in measuring transitions to adulthood in sub-Sahara…
Using Biomarkers to Assess the Validity of Sexual Behavior Reporting across Interview Modes among Young Women in Kampala, Uganda
Understanding the transmission dynamics of HIV and other sexually transmitted infections is critically dependent on accurate behavioral data. This study investigates the effect of the mode of questionnaire delivery on the quality of sexual behavior reporting in a 2010 survey conducted in Kampala, Uganda, among 18–24‐year‐old women. We compare the reported prevalence of five sexual outcomes across three interview modes: traditional face‐to‐face in…
Randomized evaluation and cost-effectiveness of HIV and sexual and reproductive health service referral and linkage models in Zambia
ISRCTN84228514 Retrospectively registered. The study was retrospectively registered in the ISRCTN clinical trials registry on 06 October 2015. The first recruitment of participants occurred on 17 December 2013
Cluster randomized evaluation of Adolescent Girls Empowerment Programme (Agep)
ISRCTN29322231 . March 04 2016; retrospectively registered
Reading and numeracy skills after school leaving in southern Malawi
When He Asks for Sex, You Will Never Refuse”
Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnan…
The impact of the Adolescent Girls Empowerment Program (Agep) on short and long term social, economic, education and fertility outcomes
Background Adolescent girls in Zambia face risks and vulnerabilities that challenge their healthy development into young women: early marriage and childbearing, sexual and gender-based violence, unintended pregnancy and HIV. The Adolescent Girls Empowerment Program (AGEP) was designed to address these challenges by building girls’ social, health and economic assets in the short term and improving sexual behavior, early marriage, pregnancy and edu…
Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi
While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. Using the Malawi Schooling and Adolescent Study, a longitudinal survey that followed 2,649 young people aged 14-17 at baseline from 2007 to 2013, we estimate the effect of three education variables: school enrolment, grade attainment, and a…
Understanding family planning outcomes in northwestern Nigeria
SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use-even without large-scale changes in socio-economic and health services factors-by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes …
Assessment of an adolescent-girl-focused nutritional educational intervention within a girls’ empowerment programme
Objective: Adolescent girls are at risk for both macro- and micronutrient deficiencies affecting growth, maternal and child health. This study assessed the impact of an adolescent-girl-tailored nutritional education curriculum on nutritional outcomes, including knowledge, dietary behaviour, anthropometry and anaemia. Design: A cluster-randomised evaluation was conducted with two study arms: girls in mentor-led weekly girls’ groups receiving sexua…
Psychosocial influences on pregnancy and childbirth behaviours in north-western Nigeria
Antenatal care (ANC) and facility delivery are essential maternal health services, but uptake remains low in north-western Nigeria. This study aimed to assess the psychosocial influences on pregnancy and childbirth behaviours in Nigeria. Data were from a cross-sectional population-based survey of randomly sampled women with a child under 2 years conducted in Kebbi, Sokoto and Zamfara states of north-western Nigeria in September 2019. Women were a…
Medicine (17 works) · Psychology (15 works) · Adolescent Sexual and Reproductive Health (13 works) · Demography (13 works) · Population (12 works) · Environmental health (11 works) · Demography (9 works) · Sociology (9 works) · Family medicine (8 works) · Developmental psychology (7 works)